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1457635633
HEIDI RUTH KALLESTAD
IRVING, TX
NPI
1457635633
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: ID 23483-A)
Enumeration Date
2011-10-05
Last Update Date
2011-10-05
Business Address
Ms. HEIDI RUTH KALLESTAD ANP-C
3050 REGENT BLVD STE 400
IRVING, TX 75063-5808
Phone number: 214-689-8067
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Mailing Address
Ms. HEIDI RUTH KALLESTAD ANP-C
24306 E 3RD AVE
LIBERTY LAKE, WA 99019-9656
Phone number: 206-999-8229
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